Exosomes derived from pioglitazone-pretreated MSCs accelerate diabetic wound healing through enhancing angiogenesis

被引:282
作者
Hu, Yiqiang [1 ,2 ]
Tao, Ranyang [1 ,2 ]
Chen, Lang [1 ,2 ]
Xiong, Yuan [1 ,2 ]
Xue, Hang [1 ,2 ]
Hu, Liangcong [1 ,2 ]
Yan, Chenchen [1 ,2 ]
Xie, Xudong [1 ,2 ]
Lin, Ze [1 ,2 ]
Panayi, Adriana C. [3 ]
Mi, Bobin [1 ,2 ]
Liu, Guohui [1 ,2 ]
机构
[1] Huazhong Univ Sci & Technol, Tongji Med Coll, Union Hosp, Dept Orthopaed, Wuhan 430022, Peoples R China
[2] Hubei Prov Key Lab Oral & Maxillofacial Dev & Reg, Wuhan 430022, Peoples R China
[3] Harvard Med Sch, Brigham & Womens Hosp, Dept Plast Surg, Boston, MA 02215 USA
基金
美国国家科学基金会;
关键词
Exosomes; Mesenchymal stem cells; Pioglitazone; Diabetic wound; Angiogenesis; MESENCHYMAL STEM-CELLS; BONE-MARROW; REGENERATION;
D O I
10.1186/s12951-021-00894-5
中图分类号
Q81 [生物工程学(生物技术)]; Q93 [微生物学];
学科分类号
071005 [微生物学]; 090105 [作物生产系统与生态工程];
摘要
Background: Enhanced angiogenesis can promote diabetic wound healing. Mesenchymal stem cells (MSCs)-derived exosomes, which are cell-free therapeutics, are promising candidates for the treatment of diabetic wound healing. The present study aimed to investigate the effect of exosomes derived from MSCs pretreated with pioglitazone (PGZ-Exos) on diabetic wound healing. Results: We isolated PGZ-Exos from the supernatants of pioglitazone-treated BMSCs and found that PGZ-Exos significantly promote the cell viability and proliferation of Human Umbilical Vein Vascular Endothelial Cells (HUVECs) injured by high glucose (HG). PGZ-Exos enhanced the biological functions of HUVECs, including migration, tube formation, wound repair and VEGF expression in vitro. In addition, PGZ-Exos promoted the protein expression of p-AKT, p-PI3K and p-eNOS and suppressed that of PTEN. LY294002 inhibited the biological function of HUVECs through inhibition of the PI3K/AKT/eNOS pathway. In vivo modeling in diabetic rat wounds showed that pioglitazone pretreatment enhanced the therapeutic efficacy of MSCs-derived exosomes and accelerated diabetic wound healing via enhanced angiogenesis. In addition, PGZ-Exos promoted collagen deposition, ECM remodeling and VEGF and CD31 expression, indicating adequate angiogenesis in diabetic wound healing. Conclusions: PGZ-Exos accelerated diabetic wound healing by promoting the angiogenic function of HUVECs through activation of the PI3K/AKT/eNOS pathway. This offers a promising novel cell-free therapy for treating diabetic wound healing.
引用
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页数:17
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